NPI: 1245637529 · WILLIAMSBURG, IA 52361 · Community/Retail Pharmacy · NPI assigned 12/02/2014
| Authorized Official | HARTIG, CHARLESS (CEO) |
| NPI Enumeration Date | 12/02/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 18 | $363.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 18 | 18 | $363.28 |